NPI | 1518204353 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK STEWART AMSTER Physician/Owner 617-783-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MA 70448) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2013-01-14 |